Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: Jul 15, 2026

Robot-assisted Partial Splenectomy

Robot-assisted Partial Splenectomy

Published on: January 2, 2026

Laparoscopic accessory splenectomy using intraoperative gamma probe guidance.

Boris Kirshtein¹, S Lantsberg, L Hatskelzon

¹Department of Surgery A, Soroka University Medical Center, Beer-Sheva, Israel. borkirsh@bgu.ac.il

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A

|May 9, 2007

Summary

Locating accessory spleens before surgery is crucial for postsplenectomy patients with relapsing hematologic disease. Preoperative scintigraphy effectively identifies these spleens, guiding successful laparoscopic removal and improving patient outcomes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Correction: Frailty Index as a Predictor of Operative Safety and Efficacy in Patients Undergoing Laparoscopic Sleeve Gastrectomy.

Obesity surgery·2025

Same author

Frailty Index as a Predictor of Operative Safety and Efficacy in Patients Undergoing Laparoscopic Sleeve Gastrectomy.

Obesity surgery·2025

Same author

The outcome of local excision of large rectal polyps by transanal endoscopic microsurgery.

Journal of minimal access surgery·2022

Same author

A Comparison of One- and Two-Stage Laparoscopic Sleeve Gastrectomy Following Failed Laparoscopic Adjustable Gastric Banding Using the BAROS Score.

Obesity surgery·2022

Same author

STROCSS 2021: Strengthening the reporting of cohort, cross-sectional and case-control studies in surgery.

International journal of surgery (London, England)·2021

Same author

Human adipose tissue is a putative direct target of daytime orexin with favorable metabolic effects: A cross-sectional study.

Obesity (Silver Spring, Md.)·2021

Area of Science:

Medical Imaging
Surgical Oncology
Hematology

Background:

Accessory splenic tissue can cause relapsing hematologic conditions in patients who have undergone splenectomy.
Accurate localization of accessory spleens is critical for effective surgical intervention.

Purpose of the Study:

To evaluate the efficacy of preoperative scintigraphy and intraoperative nuclear imaging in diagnosing and localizing accessory spleens in postsplenectomy patients.
To assess the outcomes of laparoscopic accessory splenectomy guided by nuclear imaging techniques.

Main Methods:

Three postsplenectomy patients with recurrent hematologic disorders underwent diagnosis and localization of accessory spleens using Tc99m-labeled heat-damaged red blood cell scintigraphy.
Laparoscopic accessory splenectomy was performed with the assistance of a handheld gamma probe.

More Related Videos

Application of Microwave Ablation in Laparoscopic Partial Splenectomy

Application of Microwave Ablation in Laparoscopic Partial Splenectomy

Published on: November 15, 2024

Related Experiment Videos

Last Updated: Jul 15, 2026

Robot-assisted Partial Splenectomy

Robot-assisted Partial Splenectomy

Published on: January 2, 2026

Application of Microwave Ablation in Laparoscopic Partial Splenectomy

Application of Microwave Ablation in Laparoscopic Partial Splenectomy

Published on: November 15, 2024

Main Results:

Scintigraphy successfully identified accessory spleens in all patients.
One patient with immune thrombocytopenic purpura achieved sustained platelet recovery at 3-year follow-up.
Relapses occurred in one patient with immune thrombocytopenic purpura within 3 months and in the patient with hemolytic anemia, necessitating further investigation.

Conclusions:

Preoperative scintigraphy is a valuable tool for diagnosing and localizing accessory spleens in postsplenectomy patients.
Handheld gamma probe-assisted laparoscopic accessory splenectomy can be effective, particularly for small accessory spleens, potentially avoiding open procedures.
Intraoperative nuclear imaging aids in confirming complete excision and can contribute to favorable postoperative results, although disease relapse remains a possibility.